LAPIS
LAZULI, A PROVING
Dr Paulo RosenbaumA pathogenesy developed
by the team of Escola Paulista de Homeopatia
São Paulo – Brazil
PRESENTATION
The Escola Paulista de Homeopatia (Paulista
School of Homeopathy), founded in November 22nd, 2001, is an institution
devoted to homeopathic teaching and treating.Its main objective is to promote and spread
the knowledge about homeopathy through education, research and service to
the community, specially the needy population.What is the Escola Paulista de Homeopatia?
It is a multidisciplinary school,
specialized in the teaching of Homeopathy to doctors, veterinary doctors,
pharmacists and surgery dentists, with a pedagogy based on constructivism.
In this manner it offers flexibility and creativity to the students. It
works with proactive students and teachers, who work on building their own
knowledge. It might be difficult but it is very gratifying. Knowledge is
cultural and encompasses everything that man has created based upon
reality, enabling him to change and construct this same reality.The Escola Paulista de Homeopatia aims to
stimulate the development of the scientific spirit and reflexive thinking
(both of then has a great value for the science and, in consequence, for
the man), creating strategies and developing the student’s capacity so
he may have the instruments to follow his way in the world. So, besides
“knowing homeopathy” he may “practice homeopathy”Who are its teachers?
They come from various courses and are
bonded by a common ideal: determination and courage
to review and promote changes in the knowledge,
learned from old masters and complemented by their
own experiences as teachers, as well as in the form
they may transmit this knowledge.To accomplish this, the Escola Paulista de
Homeopatia promote discussions among the homeopathic
community, perform clinical and pathogenetic
research, make partnership with others institutions
(having the same interesting), create its
“Cultura Homeopática: ArCHivos da Escola de
Homeopatia” to show homeopathy in a novel context
(a medicine with subject). Finally, it intends to offer it’s result to the society through information about “what
is”, “when” and “where to call
for” homeopathy, attending sick people and
animal and acting in Public Healthy.You can see the first school pathogenetic
research in the next pages.The Escola Paulista de Homeopatia thanks
your attention and invites you to visit its website
at www.escoladehomeopatia.org.br,
or write to
cursos@escoladehomeopatia.org.br
culturahomeopatica@escoladehomeopatia.org.brMírian A. Mansour
Director
RESUMO
Apresentamos aqui os resultados da
experimentação patogenética de Lapis lazuli. A experimentação foi
realizada segundo o protocolo de experimentação de
Brosimum gaudichaudii (Congresso Nacional de Homeopatia- Rs- 1998) adaptado às necessidades do grupo. Acrescenta-se o estudo
temático do medicamento, as rubricas repertoriais, o
diagnóstico diferencial e a sugestão de novas rubricas repertoriais. A
realização da experimentação gerou a postulação
de algumas diretrizes práticas a serem incorporadas no protocolo.
ABSTRACT
The results of the proving of Lapis Lazuli
are presented. The proving followed the protocol adopted for Brosimum gaudichaudii (Congresso Nacional de Homeopatia – RS – 1998),
further modified to adjust to our group’s demands. They
are also presented a thematic study of the remedy, its repertorial
rubrics, its differential diagnosis and new rubrics that
ought to be added to the repertory. The experience created the need of
suggesting new practical guidelines to be included
in the protocol.
Uniterms
Homeopathy – Trials of drugs – Proving –
Lapis lazuli
Homeopatia – Experimentação de medicamentos – Patogenesia –
Lápis Lázuli
LAPIS LAZULI (lap-l)
A PROVING (1)Paulo Rosenbaum; Silvia Waisse-Priven;
Fábio S. Mangolini;
Anamaria N. Nunes; Tânia Magalhães; Maisa Misiara; Rita Tocantins
INTRODUCTION
What is a proving? Basically, it’s an
experimental procedure that systematically questions nature as to obtain
empirical data that ground the employment of
remedies in human beings and animals.A remedy by itself is an abstraction: it
only gains actual life and expression when in contact with a living
creature.On the other hand, it can be also
considered a powerful tool in the discovery of anthropological knowledge.
Remedies enable us to probe human trajectories, to
trail physiologies, to depict healthy and diseased states, to modify the
receptors of the information they convey, to
suppress symptoms, to palliate symptoms, to heal.Difficulties are inherently immense:
scientific objections, the complexity of recording subjective data,
observation, dataanalysis, and so on. Any trial is
complex, but homeopathic proving have the additional disadvantages of lack
of financial and institutional support.Experimental science is destined to
continual advance. But as we, homeopaths, remain amateurish, advance will
be as slow as it has been, which may only darken our
medical and cultural potential. The symptoms obtained in the proving of Lapis lazuli, notwithstanding its small number,
are sufficient to allow for the prescription of this remedy in actual practice. Proving never are anything but fragmentary hints, yet,
when well interpreted and applied, project us to a wider scope of knowledge: to that which is essential in every patient,
his/hers hermeneutic totality.
MATERIAL AND METHODS
(2)
The proving of Lapis lazuli,
a Brazilian gem, was effected in São Paulo, Brazil, during 2000 and 2001.
The double-blind method was adopted; the substance
being revealed after the proving was over. The experimental protocol of Brosimum gaudichaudii (Congresso Nacional de Homeopatia, RS, 1998) was employed, with
eventual alterations according to our group’s
specific needs.Two series of vials were employed, labeled
“pathogenetic proving” (vials 01 and 02). Vials #1 were
distributed to provers after a 30-day
auto-observation period and an initial homeopathic interview (See Appendix
– Protocol). They were instructed to take one
daily dose, every morning, for 30 days and should contact the Proving
Directors weekly or if disturbing symptoms were to
appear. Vials #2 were distributed in the second stage.Although it was asked of the pharmacists to
include placebos – as the protocol establishes – after the opening of
the sealed envelope, it was find out that all vials
contained Lapis lazuli 90th Korsakovian potency.
DEVELOPMENT OF THE PROVING
Our team, including provers and proving
directors, initially was composed of 10 members. Before the actual
proving, provers were subjected to laboratory tests
and a regular homeopathic consultation, after an initial 30-day period of
autoobservation, systematically recorded in
standardized notebooks. One of the provers quitted and a second was
rejected by the proving director – upon consulting
the prover’s cardiologist – as exams revealed high levels of
cholesterol.RESULTS: MATERIA MEDICA OF LAPIS
LAZULI
MIND
P1 – USS-M
Went back to work, happy,
happiness itself – before I was
always tired, the day seemed too
long. More resolute, confident,
different posture, firmer, lee
doubting. I am not so tense, anxious
as before, I ponder about the attitude
to adopt, before I used to go mad,
now I am calmer.
P2 – day 12 – NS/USS-M
Night, very irritable,
impatient when contradicted. It was
not due to (my habitual) hastiness,
but I could not let go of trifles. I
told my girlfriend not to argue
because it was useless, it would be
worse. I felt irritability as a tension,
heat in the head, as if irritability
was located in the face and head. I
stayed at home, quiet, waiting for
it to go away. Intense irritability that
hindered clear thinking. Situations
when I would usually not argue, I
would argue. Looking for arguments,
disagreement. Irritability without a
cause, when anybody was talking,
ameliorated by sitting, quiet, without
speaking to anybody. If I talked to
someone, I could not control myself
(Usually the prover ameliorates by
talking problems). (2 hours).
P2 – 14 – NS
The same irritability,
people speaking, traffic, everything
irritated me, was a contrariety.
Irritated and would answer: “I
didn’t like it”, I could not
let go but reacted and answered (1
hour).
P3 – 13 – USS-M
Less irritated with traffic
than usually, notwithstanding all
abuse of drivers.
P3 – USS-M
Sensation of agony because
there is too much people in the
world and there will not be enough
food – Malthus Theory – is
worse.
P3 – 5 – NS
General subjective feeling
of well being depicted as serenity.
P3 – 7 – NS
General subjective feeling
of well being depicted as serenity.
VERTIGO
P1– USS-M
Dizzy in cold weather
(usually is dizzy in hot weather), I
had that dream (of falling from a
precipice and floating). During
dizziness, perspiration, more in the
head, ashen, not feeling well. Cold
perspiration in forehead, icy cold
hands.
HEAD
P1– 4 – NS?
At 11:00am, pain in left
side of head, with nausea. Continual
pain. Disappeared by 6:00 pm.
P1– USS-M
Very slight headache, went
away with no remedy.
P1– USS-M
Diminution of scalp spots:
they were like coins, round, scaly,
hair threads with them, they
suppurate after the remedy. I
stopped thinking and they disappeared.
P1– NC
Heaviness in forehead,
sensation of rocking forwards as if
would fall.
P2 – NS
Headache below the right
eye, afternoon.
P2 – 1 – NS
Stitches in the left side
of the nape, afternoon, extending to
the whole head, lasting a few
seconds, until establish in one
point of the forehead, above the
right eye, where it remained a few
hours.
P3 – NS
General discomfort,
abdominal pain, headache in all of
head, in the nape, at 8:00pm.
P3 – 9 – NS
Contraction of the right
rhomboid muscle, in the nape, from
2:00pm to midnight, accompanied by
occipital and vertex headache, as a
pressure.
FACE
P1– NC
Much perspiration in the
face.P2 – 29 – USS-M
15 days after stopping the
remedy, pimples in the face. They
usually inflame, but this time
inflammation was 1 week delayed. In
face and ears.
EYES
P1– 9 – NS
Eyes very red, as if I had
wept a lot. I think it is the smog.
I was very tired when came back
home.
EARS
P2 – 1– NS
Acute whistle left ear,
lasts seconds, morning.
P2 – 4 – NS
Afternoon, sensation of
hearing a whistle in right ear,
lasting seconds.
P3 – 6 – NS
Night, acute whistle in
right ear, slight, increasing until
it seemed to be inside the head,
worse in the light. Accompanied by
intense general discomfort, with
dizziness, desire to be quiet, not
moving, that actually slightly
ameliorate the symptom (2 hours: 7-9
pm).
NOSE
P1– 11 – NS
High fever last night.Woke
up with pain in throat, on the right
side and abundant coryza. Chills
during the night, with abundant
perspiration.
P1– NC
Cough produces vomit, expectoration of lumps of mucus, would vomit every time; expectorating, fluid coryza.
P1– NC
Woke up sneezing, it seemed
as flu in the beginning, in
paroxysms of 4 or 5 (before rising
from bed).
P3 – 2 – NS
Burning deep in nostrils,
as when water comes out through the
nose. It provokes slight anxiety and
worries concerning the obstruction
and lack of air. 2-4 pm.
P3 – 2 – NC
Slight clear coryza.
P3 – 14 – NC
Epistaxis of small amount
of blood, related to exertion or
trauma, 2:00 pm.
MOUTH
P1– 12 – NS
Without appetite for food,
could not make myself eat, as if the
palate had vanished.
P3 – 1 – NS
Slight formication around
lips, 10:00 am.
P3 – 2 – NS
Formication around the
mouth and in palate, for about 30
minutes, slight intensity, 8:00 am.
P3 – 1 – NS
Metallic taste in mouth, at
midnight.
P3 – 5 – NS
Metallic taste in mouth,
9:00 am.
P3 – 5 – NS
Metallic taste in mouth,
night.
P3 – 2 – USS-M
Ptyalism, 9:00 am.
P3 – 5 – USS-M
Ptyalism, night.
THROAT
P1 – 11 – NS
High fever last night.Woke
up with pain in throat, on the right
side and abundant coryza. Chills
during the night, with abundant
perspiration.
STOMACH
P1 – 12 – NS
Without appetite for food,
could not make myself eat, as if the
palate had vanished.
P1 – USS-M
Before, desire for creamy
cakes, now for cakes without filling
(orange).
P1 – USS-M
Before aversion of chicken,
I am eating chicken again.
P1 – USS-M
Only eating cooked (leafy) vegetables: if raw, they seem tasteless.
P1 – USS-M
Drinking milk again.
P1 – USS-M
Melon, I like it, but it
used to produce heartburn, now it
does not produce it any more.
P1 – USS-M
Watermelon used to produce heartburn, no more.
P1 – NC
Heartburn after cucumbers.
P3 – 7 – NS
Undefined discomfort,
indefinite sensation in the area of
bowels. Sensation of emptiness
alternating with sensation of
fullness in epigastrium, 2:00 pm.
P3 – 3 – USS-M
Heartburn after eating chocolate and chocolate cake, burning in epigastrium and behind sternum (before: desire for chocolate).
P3 – 5 – USS-M
Heartburn after chocolate.
P3 – 6 – USS-M
Heartburn after chocolate.
P3 – 9 – NS
Indigestion after lunch
(rice, fried potatoes, roasted
chicken): constant eructation.
P2 – USS-M
Eating less hurriedly.
ABDOMEN
P3 – 7 – NS
Undefined discomfort,
indefinite sensation in the area of
bowels. Sensation of emptiness
alternating with sensation of
fullness in epigastrium, 2:00 pm.
P3 – NS
General discomfort,
abdominal pain, headache in all of
head, in the nape, at 8:00 pm.
P3 – 1 – NS
Slight abdominal colic,
10:00am.
P3 – 1 – NS
Intense diffuse abdominal
colic, 7:00 pm.
STOOLS
P3 – 4 – NS
Fetid pasty stools.
P3 –13 – NS
Fetid pasty stools.
P3 – 1 – NS
Soft stools, large amount.
P3 – 5 – NS
Urgency to pass soft
stools.
P3 –2 – NS
Soft stools.
P3 – 3 – NS
Soft stools.
LARYNX AND TRACHEA
P1 – OSR
Laryngitis with hoarseness
(I had it 15 years ago). Lost desire
for food and talking. Usually, I do
not lose appetite when ill, now I
cannot eat sweets, cakes, soup, milk
(tasteless). It lasted 1 week.
Indisposed to talk.
COUGH
P1 – NC
Cough produces vomit, expectoration of lumps of mucus, would vomit every time; expectorating, fluid coryza.
P3 – 2 – NC
Slight dry cough.
BACK
P2 – 1 – OSR
Pressure in the back, left
side, returned, slighter. Night,
cramp sensation in left shoulder,
neck muscles, it lasted a few hours.
P2 – 1 – NS
Stitches in the left side
of the nape, afternoon, extending to
the whole head, lasting a few
seconds, until establish in one
point of the forehead, above the right eye, where it remained a few hours.
P2 – 1 – USS-M
Stitches in right shoulder, not as fine as needles, 5:00pm; the following day,
closer to the neck and intermittent for a few hours.
P2 – 4 – USS-M
Stitches in right shoulder, next to the neck, omoplate; short duration, sporadically
along the day. The following day, migrating
stitches, less located in omoplate, the rear part of
the shoulder-joint (2 hours).
P3 – 1 – NS
General discomfort, abdominal pain, headache in all of head, in the nape, at
8:00 pm.
P3 – 11 – NS
Slight pain rhomboid muscle, right side, hinders turning the head to the right.
P3 – 13 – NS
Pain rhomboid muscle, right, slight.
P3 – 14 – NS
Pain rhomboid muscle, right, slight.
P3 – 15 – NS
Backache, rhomboid area.
P3 – 4 – NS
General muscular backache. Discomfort to lie down, no comfortable
position.
P3 – 4 – NS
Lumbar pain, discomfort to lie down.
P3 – 7 – NS
Pain in omoplate, paravertebral, between omoplate and spine, hinders physical
activity. Muscular contraction of the rhomboid
muscle, on the right, difficult to turn the neck to the right. Pain is constant, moderate
intensity, lasts until falling asleep.
P3 – 9 – NS
Contraction of the right rhomboid muscle, in the nape, from 2:00 pm to
midnight, accompanied by occipital and vertex
headache, as a pressure.
P3 – 10 – NS
Pain in right rhomboid
muscle, slight intensity.
EXTREMITIES
P3 – 7 – NS
Pain in the joints of the
lower limbs, in the upper limbs pain
also in muscles. Slight intensity.
P3 – 7 – NS
General pain in joints:
shoulders, pelvic, a kind of a
discomfort, no position ameliorates.
Discomfort in muscles of lower
limbs. 9:00 pm.
CHILLS
P1 – 11 – NS
High fever last night.Woke
up with pain in throat, on the right
side and abundant coryza. Chills
during the night, with abundant
perspiration.
FEVER
P1 – 11 – NS
High fever last night.Woke
up with pain in throat, on the right
side and abundant coryza. Chills
during the night, with abundant
perspiration.
P1 – 12 – NS
High fever with copious
perspiration.
P1 – 13 – NS
Whole body so sore that it
seems as if a truck had ran over me.
Very tired. Only one fever episode.
I feel very cold when feverish and I
shake.
PERSPIRATION
P1 – 11 – NS
High fever last night.Woke
up with pain in throat, on the right
side and abundant coryza. Chills
during the night, with abundant
perspiration.
P1 – 12 – NS
High fever with copious perspiration.
SKIN
P1 – USS-M
Skin less oily than before.
P2 – 29 – USS-M
15 days after stopping the
remedy, pimples in the face. They
usually inflame, but this time
inflammation was 1 week delayed. In
face and ears.
GENERALS
P1 – 8 – USS-M
Weariness much aggravated
in the evening.
P1 – 13 – NS
Whole body so sore that it
seems as if a truck had ran over me.
Very tired. Only one fever episode. I feel very cold when feverish and I shake.
P1 – 7 – USS-M
Weariness still intense,
difficult to say some words, I know
what I want to say but it simply
does not go out.
P2 – USS-M
(Has the habit of cracking
his joints), it ameliorated after
the remedy; after stopping the
remedy, it came back.
P2 – 6 – USS-M
Discomfort, not amounting
to dizziness, desire to be quiet,
not moving, sitting.
P2 – USS-M
Light bothers me, night
(before: fear of darkness).
P3 – 5 – NS
Weariness, general
tiredness, indisposed to do things.
Asthenia? Desire to sleep all day
long.
P3 – 1 – NS
General discomfort,
abdominal pain, headache in all of
head, in the nape, at 8:00 pm.
SUBJECTIVE
P1 – 10 – NC
Feeling very bad, dizziness
in the afternoon. Difficult to work because thinking is slow, feeling very heavy.
DREAMS
P1 – NC
Dream of a woman in
Morocco, tanned; when covered.
PARTIAL CONCLUSIONS
Some difficulties were met
before, during and even after the actual proving: availability of a
minimum of participants, compliance
with schedule, evaluation of results. Nevertheless, they did not impede
the continuation of the proving. As
positive effects, besides the production of the symptoms peculiar to a
Brazilian substance never tested before, we achieved a better understanding concerning the homeopathic
remedy and the value of symptoms in the materia medica. A second proving is presently under development.
APPENDIX: PROTOCOL
1. CONSENT FORM
I,_______, Identity card #
___________, Social Security # _________, agree to participate in the
homeopathic proving conducted by the
Research Group of the Scientific Department of the EPH. I am aware that:• The substance tested
may elicit disturbing symptoms;• I will be able to stop
my participation the moment I desire;• It may be interrupted
if the proving Directors evaluate that there is my health is at risk.I declare that I am aware
of the contents of the trial protocol and do not hold the proving team
liable to whatever it may happen, as
I participate in this proving of my own free will, in the hope of
contributing to the advance of homeopathic science.• (signature)- Notarial
certification.• Name
• Place
• Date
Proving Directors:
1) General Director.
Medical Identification #2) Clinical Director.
Medical identification #
2. THE PROVING DYNAMICS
Having complied with the
initial requirements of the protocol, the proving consists of the following stages:1. Ascription of provers to
the Clinical Directors (CD). Every pair
of prover-CD will discuss the PROVING DIARY, how it is to be recorded, and need of permanent
availability. The initial auto-observation
period is extremely helpful in this stage.2. Distribution to provers
of numbered vials that will have to be kept in boxes, protected from electromagnetic fields, strong odors, etc.It is not mandatory that
all provers test all vials: this will depend on the schedule set by the General Director (GD).3. After the selection of
the vial, the prover will drop 5 drops directly below the tongue, once every day, without ingesting any neither fluid nor solid substances nor
smoking tobacco 30 minutes before
and after the trial substance. The vial must be shaken 10 times before ingestion.4. Ingestion will continue
until symptoms appear, when it will be
discontinued. If no symptoms appear on the 15th day, ingestion will be also discontinued.5. If no symptoms appear,
after a 30-day resting period, the next
vial will be started.6. When symptoms appear,
ingestion must be discontinued, symptoms
recorded and discussed with the CD.7. After the disappearance
of symptoms, wait 30 days before starting
the next vial.8. Women will begin the
proving on the first day after the end of the menses (abiding to the 30-day drug-free period mentioned above).9. The same sequence will
be repeated with every vial.The proving may be
discontinued at the local level by the CDs and/or the GD.
3. THE PROVING DIARY
The proving diary will be
elaborated by the Proving Team or it may
follow any model that fulfills the requirements established by the group.It ought to contain the
truthful record of the prover symptoms and will be discussed weekly with the CD. Any severe clinical complication must be immediately reported to the
CD.The record of symptoms will
follow the same pattern both in the auto-observation
diary and the proving diary, according to:• Initial circumstances.
• Sensations.
• Time.
• Weather conditions.
• Place.
• Periodicity.
• Rhythm.
• Extensions.
• Alternations.
• Concomitances.
• Modalities of amelioration and aggravation.
• Mood for the duration of the symptom.
• Images and metaphors.The diary must include all
data that reflect a perfect record concerning
the beginning and discontinuation of the doses.The prover will only use
the front of the page, leaving the back empty for the DC remarks.
4. MODEL
A. Identification of the
prover (code).B. Procedure:
1. The prover will legibly
write the vial number.2. Date, month,
year;Weather conditions; Place.3. The prover will
permanently carry the diary with him/her
in order to be able to record each symptom, indicating the time, place, modality, sequence, etc.4. Symptoms must be
recorded in a simple and natural language.
Terms must be subjective-objective, i.e. provers must express themselves spontaneously, through
the common descriptive language and
employing analogies. It is essential
to be true to the flux of speech, such as it expresses itself, even in the case of abstract images. Eventual interpretations may be included between brackets { }.Medical jargon ought to be
omitted, as the record is not devised to decode medical terms but to achieve the maximal accuracy of the individual’s reaction. But whenever this is
not possible, the prover may employ
technical terms.
C. Before the proving:
During the 2 weeks before
the proving, the prover must record all
symptoms, including those that he/she usually feels. Avoid every kind of excess.
D. Diet:
1. The prover will not
alter his/hers usual diet, which ought to be as simple as possible.2. Those used to regular
use of coffee, tobacco, seasonings, alcohol,
etc. may take them with moderation.3. Those who only use the
substances above occasionally will abstain
from them. If they eventually use them, they will have to record the occasion.
E. Other remedies:
1. During the proving, the
prover will not be able to use any other
kind of remedies, including topical.2. Avoid camphor, unusual
perfumes, medicated lotions and creams,
teas, laxatives, etc.
F. How to take the remedy:
1. See above,
“Dynamics of the proving”.2. It must be kept in mind
that a few well described symptoms
are much more valuable than many of them that do not distinguish characteristic and imaginary symptoms.3. The remedy must be
discontinued immediately after symptoms
begin to appear and should not be repeated.
G. Recording symptoms:
1. Date, hour and place of
dose-intake.2. Weather conditions.
3. Physical condition.
4. Date and hour of the
symptom’s appearance.5. Disappearance of an old
symptom.6. Reappearance of a new
symptom.7. Aggravation or
modification of a usual symptom.
H. Every symptom will be
described according to the following
modalities:1. Chronological order.
2. Localization and Bodily
Sides.3. Sensations as if…
4. Gradual or abrupt
appearance and disappearance.5. Duration.
6. Modalities of
amelioration and aggravation:i. Open air, cold, sun
exposure, bathing, crowded room, narrow
places, in the bed, etc.ii. Before and after
storms; change of weather.iii. Darkness, etc.
iv. Local or general
motion.v. Inspiring, exhaling,
coughing, sneezing.vi. Laughing, screaming,
talking.vii. During exertion;
stretching; running; walking; standing; sitting; rising; bending; laying over something; resting upon something.viii. Washing.
ix. Covering; uncovering;
undressing.x. Reading; writing;
mental exertion.xi. Yawning, etc.
xii. By sleep; dreams.
xiii. Before, during or
after meals; which meals; drinking; eating; swallowing.xiv. Before, during and
after menses; sexual intercourse; passing
stools; passing urine.xv. Vomit; eructation;
flatulence.xvi. Perspiration.
xvii. Smoking; drinking
alcohol (and which drinks).xviii. Thinking on
his/her symptoms.xix. By odors.
xx. By music; noise.
xxi. By touch; hard or
strong pressure.xxii. When alone or in
company.xxiii. By any emotion:
sadness, worry, bad news, reproof, reproach,
indignation, contradiction, humiliation, mortification, disappointment, anger, happiness, surprises.xxiv. If symptoms are:
constant, continual, periodic, acute, intermittent, etc.xxv. Extension and
direction of sensations.xxvi. Other modalities.
I. Laboratory tests:
Lab tests will be ordered
before the proving and whenever necessary
according to the CD/GD.
ADDENDUM 1
The proving Group of the
Fundação de Estudos Médicos do Paraná established the following
guidelines, which are attached to the Proving Diary:• Identify your records
with the Prover Code, not with your name.• Identify your records
with the vial number to which symptoms correspond.• Enumerate in ordinal
numbers (1st, 2nd, 3rd) every day of the proving. The first day is the day
when you began to take the remedy.
Begin a new for each vial.• Identify every day you
take the remedy.• State the duration of
each symptom, from date and hour of appearance to date and hour of
disappearance.• State dates of
beginning and end of menses.• In each symptom,
record:• Adverbs:
Why? Triggers; initial
conditions.Where? Organ; extension;
physical environment.How? Sensations as if…;
Rhythm (how it begins, develops and ends); Alternations; Concomitances,
etc.• Factors that ameliorate
and aggravate.• Emotional state during
symptoms.• Intensity: (+) Slight;
(++) Moderate; (+++) Strong, intense.• DC: Check in the
repertory if data are sufficiently clear and precise as to belong in a
rubric or sub-rubric.• DC: Classify the prover’s
symptoms as:• NS: New symptom.
• USS-UnM: Usual sporadic
symptom, unmodified• USS-M: Usual sporadic
symptom, modified• OSR: Old symptom
returned.• O: Others.
ADDENDUM 2
The Proving Group of the
Escola Paulista de Homeopatia added:• Record even the most
ephemeral sensations.If you do not know how to
classify a symptom, do not classify it or rate it NC: no classification.• In the case of
concomitances, state the smallest details; whenever be case, state the
general effect that symptoms produced
to you.• Dreams: write them down
as soon as you wake up; if possible, tape them.• Severe symptoms: write
them down and immediately call your CD.• Pay attention to the
spatial and geographical context of each symptom: when applicable,
describe the environment. State when
you are in a journey.• Pay attention to family
and job contexts.• Record eventual
commentaries that friends, relatives, coworkers may do.• CD: Do not compare the
patient’s symptoms with symptoms of already known remedies.REPERTORIAL SYMPTOMS
MIND – CONVERSATION – agg.
MIND – DELUSIONS – starve –
being starvedMIND – DELUSIONS – starve –
family willMIND – FEAR – starving, of
MIND – IMPATIENCE –
contradiction; at slightestMIND – IRRITABILITY –
conversation, fromMIND – IRRITABILITY –
spoken to, whenMIND – IRRITABILITY –
talking, whileMIND – MEMORY – weakness of
memory – expressing oneself, forMIND – MEMORY – weakness of
memory – words, ofMIND – QUIET disposition
MIND – QUIET; wants to be
MIND – TACITURN
MIND – TRANQUILLITY,
serenity, calmnessVERTIGO – BALANCING,
sensation ofVERTIGO – PERSPIRATION
VERTIGO – ROCKING – as if
VERTIGO – WEATHER – cold
HEAD – ERUPTIONS – scales
HEAD – HEAT
HEAD – HEAT –
contradiction, fromHEAD – HEAVINESS – Forehead
HEAD – NOISES in head
HEAD – PAIN – accompanied
by – nauseaHEAD – PAIN – Forehead, in
– eyes – aboveHEAD – PAIN – Occiput –
extending to – head – over whole headHEAD – PAIN – Occiput –
leftEYE – PAIN – weeping, after
– as after weepingEAR – NOISES in – whistling
EAR – NOISES in – whistling
– leftEAR – NOISES in – whistling
– rightNOSE – CORYZA
NOSE – CORYZA – sore
throat, withNOSE – EPISTAXIS –
exertion, fromNOSE – PAIN – burning,
smarting – NostrilsNOSE – PAIN – burning,
smarting – Root – insideNOSE – SNEEZING – morning –
waking, onFACE – FORMICATION
FACE – FORMICATION – Lips
FACE – PAIN – Eye – below
FACE – PERSPIRATION
MOUTH – CRAWLING – Palate
MOUTH – NUMBNESS
MOUTH – NUMBNESS – Palate
MOUTH – SALIVATION – night
MOUTH – SPEECH – difficult
– weakness; fromMOUTH – TASTE – metallic
MOUTH – TASTE – wanting,
tastelessness of foodTHROAT – PAIN – right
STOMACH – APPETITE –
wantingSTOMACH – EMPTINESS
STOMACH – FULLNESS,
sensation ofSTOMACH – NAUSEA – cough,
duringSTOMACH – VOMITING –
coughingABDOMEN – PAIN – cramping,
gripingSTOOL – ODOR – offensive
STOOL – PASTY, papescent
STOOL – SOFT
LARYNX AND TRACHEA – VOICE
– hoarsenessCOUGH – DRY
BACK – PAIN – Cervical
region – turning head – right; toBACK – PAIN – cramping –
Dorsal region – scapulae – leftBACK – PAIN – cramping –
Dorsal region – scapulae – rightBACK – PAIN – Dorsal region
– motion – onBACK – PAIN – Lumbar region
– lying – whileBACK – PAIN – lying – while
BACK – PAIN – pressing
BACK – PAIN – stitching –
Cervical regionBACK – PAIN – stitching –
Cervical region – extending to – headEXTREMITIES – COLDNESS –
Hands – vertigo, withEXTREMITIES – PAIN – Nates
EXTREMITIES – PAIN –
Shoulder – rightEXTREMITIES – PAIN –
stitching – Shoulder – rightEXTREMITIES – RESTLESSNESS
– Lower limbsDREAMS – FALLING – abyss,
into anDREAMS – FLOATING
CHILL – NIGHT
CHILL – PERSPIRATION – with
perspiration; chillFEVER – SHIVERING, with
GENERALS – COLD – internal
coldness with external heatGENERALS – FOOD and DRINKS
– chicken – desireGENERALS – FOOD and DRINKS
– chocolate – agg.GENERALS – FOOD and DRINKS
– cucumbers – agg.GENERALS – FOOD and DRINKS
– dry food – desireGENERALS – FOOD and DRINKS
– milk – desireGENERALS – FOOD and DRINKS
– vegetables – aversion – rawGENERALS – HEAVINESS
GENERALS – LIGHT – agg.
GENERALS – MOTION – agg.
GENERALS – PAIN – crushed,
as ifGENERALS – WEARINESS –
eveningGENERALS – WEARINESS –
talking, after
RUBRICAS NOVAS
• Peso na testa, sensação de balançar para frente como se fosse cair.
Head,
Heaviness
Forehead,
Balancing sensation (as if falling)
• Meu corpo está tão dolorido que é como se um caminhão tivesse passado por
cima de mim (1 – SN)Generals,
Body,
Painful,
As if ran over by a truck,
• Desconforto para deitar não encontro posição confortável. (2 – SN)
Sleep
Position
Lying, while
Uncomfortable
• Formigamento perioral e palato +/- 30 minutos. Leve intensidade. Às 8h00
(2 – SN)• Formigamento leve em torno dos lábios. Às 10h00 (2 – SN)
Mouth,
Formication,
Palate (8:00am)
Mouth
Formication,
Lips, around (10:00 am)
• Piora sensação de agonia por ter gente demais no mundo e vai faltar comida
(Teoria de Malthus). (2 – SAM)MIND,
Delusions,
Starving, humankind will starve
• À noite, apito agudo ouvido D, leve, aumentando até que parecia estar
dentro da cabeça, piora na luz (3 – SN)Ear,
Noise,
Whistling,
Light agg.
• Irritação sentida como tensão, calor na cabeça (OBS: experimentador sente
outros sintomas habitualmente no rosto, como por exemplo a febre), como se
irritação estivesse localizada no rosto e na
cabeça (3 – SN/SAM)Head,
Heat,
As if tension
Head,
Irritability, feels in
• Irritação intensa, a ponto de impedir raciocinar com clareza (3 –
SN/SAM)Mind,
Thinking difficult,
Irritability from,
BIBLIOGRAPHY
MARIM, M (org.). Brosimum
gaudichaudii: experimentação pura. São Paulo, Editora Organon,
1998.MURE, B. Patogenesia Brasileira com
Repertório e Estudo Farmacológico, São Paulo, Roca, 1999.PRICE, E. “Provings of Drugs”. Transactions
47th Session of the American Institute of Homoeopathy.
Philadelphia,Sherman & Co. Printers, 1894.
ROSENBAUM, P. et al. Protocolo feito pelo grupo NEAH- E.P.H durante o ano de 2000 a
partir da experimentação de
Brosimum Gaudichaudii
. São Paulo, 2000.
Notas:
(1)
Departamento Científico
Escola Paulista de Homeopatia
Rua Estado de Israel, 639 – Vila Clementino
04022-001 – São Paulo, SP – Brasil
Tel: + (55) (11) 5571-8583
www.escoladehomeopatia.org.br(2)
Drugs and all material pharmaceutical
support was offered by Dra. Amarylis de Toledo César.© COPYRIGHTS – ESCOLA PAULISTA DE
HOMEOPATIA
Paulo Rosenbaum
culturahomeopatica@escoladehomeopatia.org.br
Copyright
© Paulo Rosenbaum 2003